CRC Insurance Services Logo

CRC Insurance Services

Senior Claims Specialist

Reposted 12 Hours Ago
Be an Early Applicant
In-Office or Remote
Hiring Remotely in New York, NY
120K-140K Annually
Senior level
In-Office or Remote
Hiring Remotely in New York, NY
120K-140K Annually
Senior level
Analyze and process insurance claims, manage documentation, determine claim eligibility, and ensure accuracy in reporting and communication with customers and insurers.
The summary above was generated by AI

The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one.

If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response).

Regular or Temporary:

Regular

Language Fluency:  English (Required)

Work Shift:

1st Shift (United States of America)

Please review the following job description:

Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison between insured and insurance carrier to report, track and manage claims process.

ESSENTIAL DUTIES AND RESPONSIBILITIES
Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
1. Evaluate claims, reporting forms and cancellations and initiate necessary corrections to ensure accuracy of dates, coverage, signature, commission, premium, attachments, etc.
2. Authenticate all relevant activity on assigned files and makes recommendation for additional activity as appropriate.
3. Determine where new loss claims should be reported.
4. Manage all claim documentation.
5. Use discretion to submit the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately.
6. Analyze claim coverage with insurance carriers to ensure claims are paid accurately.
7. Assess eligibility status of denied claims.
8. Anticipate and meets all customer needs (both internal and external).
9. Maintain claims and suspense system ensuring follow-up for receipt of policies, endorsements, inspections reports, correspondence, claims, etc. from outside sources.
10. Process all departmental claims in a timely manner according to company policy.
11. Perform other duties as assigned.
QUALIFICATIONS
Required Qualifications:
The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Bachelor's degree with a concentration in business or equivalent work experience
2. Three years of Claims handling experience and commercial and multi-line knowledge
3. Ability to critically review a claim file for relevant information, accurately access the information and make necessary recommendations
4. Ability to make independent decisions following CRC guidelines with minimal or no supervision
5. Good organizational, time management, and detail skills
6. Extensive knowledge of insurance and CRC processes
7. Ability to maintain a high level of tact and professionalism
8. Good leadership skills to influence all departmental employees in a positive manner
9. Possess strong interpersonal skills
10. Strong verbal and written communication skills
11. Strong computer and office skills
12. Ability to work extended hours when necessary
Preferred Qualifications:

1. New York adjuster license or New York attorney license 

2.Three years of GL claims handling experience; New York Labor Law Sections 200,240,241 preferred.

The annual base salary for this position is $120,000.00 - $140,000.00.

General Description of Available Benefits for Eligible Employees of CRC Group: All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of CRC Group offering the position. CRC Group offers medical, dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred savings accounts, and a 401k plan to teammates. Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays. Depending on the position and division, this job may also be eligible for restricted stock units, and/or a deferred compensation plan. As you advance through the hiring process, you will also learn more about the specific benefits available for any non-temporary position for which you apply, based on full-time or part-time status, position, and division of work.

CRC supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. CRC is a Drug Free Workplace.

EEO is the Law   Pay Transparency Nondiscrimination Provision   E-Verify

Similar Jobs

Mid level
Healthtech
Manage patient account balances, ensuring accurate claims submission and adherence to regulations, while providing excellent customer service and support for denial management.
Top Skills: EpicFissQuadax
8 Days Ago
Easy Apply
Remote
USA
Easy Apply
100K-130K Annually
Expert/Leader
100K-130K Annually
Expert/Leader
Fintech • Insurance
The Claims Specialist will manage high-severity claims, analyze coverage issues, and lead discussions while collaborating with cross-functional teams and ensuring compliance with regulations.
Yesterday
Remote
USA
Junior
Junior
Healthtech
The Insurance Claims Specialist manages patient accounts, submits claims, follows up on unpaid claims, and provides customer support, ensuring compliance with regulations.
Top Skills: Cpt CodingIcd-10

What you need to know about the Colorado Tech Scene

With a business-friendly climate and research universities like CU Boulder and Colorado State, Colorado has made a name for itself as a startup ecosystem. The state boasts a skilled workforce and high quality of life thanks to its affordable housing, vibrant cultural scene and unparalleled opportunities for outdoor recreation. Colorado is also home to the National Renewable Energy Laboratory, helping cement its status as a hub for renewable energy innovation.

Key Facts About Colorado Tech

  • Number of Tech Workers: 260,000; 8.5% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Lockheed Martin, Century Link, Comcast, BAE Systems, Level 3
  • Key Industries: Software, artificial intelligence, aerospace, e-commerce, fintech, healthtech
  • Funding Landscape: $4.9 billion in VC funding in 2024 (Pitchbook)
  • Notable Investors: Access Venture Partners, Ridgeline Ventures, Techstars, Blackhorn Ventures
  • Research Centers and Universities: Colorado School of Mines, University of Colorado Boulder, University of Denver, Colorado State University, Mesa Laboratory, Space Science Institute, National Center for Atmospheric Research, National Renewable Energy Laboratory, Gottlieb Institute

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account